ArticleJournal of Korean Neurosurgical Society2026
Remote Spinal Subdural Hematoma Following Lumbar Biportal Endoscopic Surgery : Two Case Reports.
Article in Journal of Korean Neurosurgical Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Acute postoperative spinal epidural hematoma following unilateral biportal endoscopic.Frontiers in surgery · 2026Article
- Symptomatic adjacent-segment epidural hematoma after UNSES for L4/5 lumbar disc herniation: a case report and narrative literature review.Frontiers in surgery · 2026Article
- Unilateral biportal endoscopy-induced intracranial pneumocephalus as radiographic evidence of raised intracranial pressure resulting from dural tear: a case report.Frontiers in surgery · 2025Article
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4 authors.
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Abstract
Remote spinal subdural hematoma (SSH) following unilateral biportal endoscopic (UBE) spine surgery is rare, even without intraoperative dural injury. We report two such cases. A 76-year-old woman underwent anterior lumbar interbody fusion and UBE decompression for lumbar spinal stenosis. Intraoperatively, dense adhesions were noted, but no cerebrospinal fluid (CSF) leakage occurred. Postoperatively, she developed left leg monoplegia. Magnetic resonance imaging (MRI) revealed a subdural hematoma at L2-3, remote from the surgical site. She recovered completely with steroid therapy and conservative management. An 88-year-old man underwent left-sided UBE laminotomy for central stenosis. The procedure was uneventful. Postoperative MRI revealed an incidental subdural hematoma from L2-4 without neurological deficits. He was observed conservatively. Both patients showed favorable outcomes without surgical evacuation. Remote SSH is a rare but important complication following UBE surgery. It should be considered when unexpected neurological deficits occur postoperatively, even in the absence of visible dural tears. Prompt diagnosis is essential for optimal management.
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